HomeMy WebLinkAbout120 San Juan St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. :3 3e3. 3
DATE /o-I'l-'"}j
,
Site Address:
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Installed By:
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o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Owner/Business Address:
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b Residential
! Heat KW
o Baseboard 0 Furnace/Boiler
b Heatpump 0 Other
,
o Commercial/Industrial load
,
: Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Sq. Ft.
M New Construction
/0 Remodel
o Service update/alter/repair
)(f Overhead
o Underground
Voltage
010 030
Service size _"'J/'JO Amps
o Temporary
,
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Delai IslDescription:
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~~A sJ ro~
.
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W.S. No. Service
Caplacity: 0 O.K. 0 Not O.K.
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o Ditch inspection O.K.
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o ~ough-in/cover O.K.
}.JI'^. -rfl q>.K. to connect service
o 11nal O.K.
Site Address:
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Installer:
,
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Permit/Receipt No.
New Meters
Date:
/?i--IO'- '7 J
.
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Notify the Department of City Light by Stree Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e I~ector in ri ing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
IIiP'lS (' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
fr:;, On
I Amount paid
WHITE - file YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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OLYM~'C PRINTERS. I"'C.